Mental Health Recovery

Abstract

Strengths-based approaches that emphasize culturally competent services and naturally occurring community support may be more appropriate than traditional mental health services for African American adults with psychiatric disabilities. An examination of the literature on service utilization and treatment needs for this population highlights the paucity of empirical studies in these areas, while an exploration of the literature related to psychiatric recovery, a prominent strengths-based framework, reveals insufficient application of the approach to the specific interests of African American service recipients. We suggest that recovery is in fact highly compatible with such culturally relevant approaches as the Afrocentric model, and argue that the concept of recovery may therefore provide a resonant and particularly useful framework for practice with this population. Implications for research, practice and policy are discussed.     

Social Work Strategies and Tactics in the Workplace

Abstract

Those social workers who offer employment services can frame job development and placement as a process of workplace socialization in which they facilitate the inclusion of people with disabilities in mainstream work settings. This paper examines the construct of workplace socialization and offers five specific strategies and related tactics for its facilitation in the context of social work practice in disability and rehabilitation.     

Return to work: A comparison of two cognitive behavioural interventions in cases of work-related psychological complaints among the self-employed

We investigated the effectiveness of cognitive behavioural therapy (CBT) and a combined intervention of workplace- and individual-focused techniques among self-employed people on sick leave owing to work-related psychological complaints (such as anxiety, depression, and burnout). Both interventions were based on CBT; however, one was conducted by psychotherapists and involved extensive CBT, while the other was delivered by “labour experts” and consisted of a brief CBT-derived intervention combined with both individual-focused and workplace interventions. One hundred and twenty-two self-employed people who had applied for sickness benefit from an insurance company enrolled in a randomized controlled design. These individuals were assessed before the intervention and then at 4 months and 10 months after the onset of the intervention. The outcome was assessed based on duration of sick leave until partial and full return to work and on psychological complaints. Significant effects on partial and full return were found in favour of the combined intervention: partial return occurred 17 and 30 days earlier in this group than in the CBT group and the control group, respectively. For full return to work, the difference was approximately 200 days. A decrease in psychological complaints was present in each condition but we found no significant interaction effects. The results suggest that work resumption should be addressed earlier in individuals receiving CBT. This insight is of value for the (scarce) literature concerning interventions for individuals who are on sick leave owing to work-related psychological complaints.     

生态系统恢复和重建的相关问题研究

环境退化是世界各国普遍面临的重要问题 ,并使得环境退化后的生态恢复重建成为当前各国重视的焦点和生态学研究的热点之一。本文从生态恢复的目标与时间入手 ,阐述了生态恢复的方法与步骤 ,最终提出了生态恢复的标准。     

DEVELOPMENT OF PRACTICE

In this paper it is described how the work of the Balay Rehabilitation Centre in the Philippines has changed over time as the political and human rights conditions of the country's affected areas have changed. Balay's psychosocial rehabilitation programmes address the needs of individuals and communities and offer support and healing. Originally Balay focused on individual and family-level psychological and social intervention in accordance with clinical diagnoses; however, as the political and human rights situation of the Philippines changed and large numbers of people became victims of trauma and displacement the intervention strategies changed. Balay became increasingly interested in assisting communities to become empowered to participate in their own healing and the frameworks of community research and participatory action research (PAR) are now being explored by Balay as valid methods of integrating research with rehabilitation activities on the community level.     

中国精神健康社会工作实务体系的研究现状与发展

对中国精神健康社会工作实务体系从形成、发展到再建构的研究已走过百年历程。民国时期起,我国精神健康社会工作初步进入学术研究的范畴,目前由于“ 健康中国” 国家战略再次成为研究热点,在实务理论、服务路径及策略方面均取得了创新性进展。借助文献研究的方法梳理当下中国精神健康社会工作实务体系的研究现状,从精神障碍患者的现实处境与需求评估、精神健康社会工作的概念、服务路径三个角度述评,围绕服务理念、服务方法、服务模式、服务内容、服务形式与供给等方面探究精神健康社会工作实务体系的服务现状与研究动向,提出目前中国精神健康社工的研究趋势已发生了多元学科整合、服务理念融合的转变,众多研究经验与规律的总结为推进未来实务理论与实践的创新奠定了坚实基础。     

Facility Organizational and Facility Resident Characteristics in Nursing Homes Serving Residents With a Mental Health History

ABSTRACT

The prevalence of mental health disorders among nursing home residents has been noted. The purpose of this study was to identify characteristics among nursing homes serving residents with a mental health history. A retrospective, cross-sectional design was conducted using the 2003 national Online Survey, Certification, and Reporting facility data merged with the resident-level Minimum Data Set resulting in 2,499 nursing homes. Across facilities, 22% of the total residents had a diagnosis of a mental disorder not including any form of dementia. Among those with a mental health history, 53% of facility residents had depression and 37% had schizophrenia.     

辽宁国有企业改制善后资金的筹措问题——资本市场融资角度的分析

国企改制善后资金的筹措问题能否很好地解决,不仅会影响改制进程,甚至会影响社会稳定。国企改制所需的善后资金不可能全部由政府和企业负责,需要多渠道、多途径加以筹措解决。本文结合辽宁国有企业改制的实际情况,拟从资本市场融资的角度探讨筹集国企改制善后资金的可行性和相关对策。     

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